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Individual

JONELLE ATHINA WEAGRAFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-5600
Mailing address
635 HUNTINGTON AVE, WINTER PARK, FL 32789-4769
(407) 619-1036

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9385924
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
11002357
FL

Other

Enumeration date
03/09/2019
Last updated
05/14/2019
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